Sutureless Total Abdominal Hysterectomy Using Marclamp® IQ : A Prospective Cross-Sectional Study

	Sutureless Total Abdominal Hysterectomy Using Marclamp® IQ : A Prospective Cross-Sectional Study
Iraqi Postgraduate Medical Journal
Article 12, Volume 19, Issue 3, 2020, Pages 252-259 PDF (0 K)
Abstract
BACKGROUND: Hysterectomy, the second most common surgical procedure performed in female patients, is associated with various complications like other major surgical procedure.To reduce such complications and shorten both ,the operating time and the intraoperative blood loss, sutureless hysterectomy was recently practiced using novel vessel sealing devices as marClamp® IQ and LigaSure. OBJECTIVE: To compare the outcomes of marClamp® total abdominal hysterectomy (TAH) versus total abdominal hysterectomies performed by LigaSure and suture ligature techniques of other studies. PATIENTS AND METHODS: A total of 47 female patients presenting with various benign and malignant uterine and malignant ovarian diseases were suturelessly hysterectomised using marClamp® . Main outcome measures: The primary outcome measures were: the operating time and blood loss while the secondary outcome measures were: intraoperative and post-operative complications, hospital stay and histopathologic results of the removed specimens. RESULTS: Operating time of marClamp®: TAH only, TAH +bilateral salpingo-oopherectomy (BSO), TAH+BSO+ infracolic omentectomy and total study group were: mean±SD = 60.91±8.31minute (m) ,75.93±14.61m, 83.89±13.18 m and 73.94±15.11m respectively (P-value =0.001, it was statistically significant ). The intraoperative blood losses of marClamp®: TAH only, TAH + BSO, TAH+BSO +infracolic omentectomy and total study group were: mean±SD = 64.09±8.61 mililiter (ml) , 85.74±17.30 ml ,103.33±20.62 ml and 84.04±20.71 ml respectively (P-value =0.000, it was statistically significant ). Hospital stay of this study was mean±SD =2.08±0.59 day. This study had no intraoperative complications .Its postoperative complication rate was 10.63 %. Premenopausal simple endometerial hyperplasia with / without atypea was the most common histopathologic variety (51%) .This study had no mortality during the follow-up period. CONCLUSION: The use of marClamp® IQ device can reduce operating time, intraoperative blood loss, intraoperative and postoperative complication rates and the hospital stay. Thus it is cost-effective. It allows quick and secured hemostasis compared with the conventional suture ligature technique.
Keywords
marClamp; LigaSure; Conventional; Hysterectomy; Sutureless

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